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Sutter Bay Hospitals

Organization Active NPI General Acute Care Hospital · Novato, CA

NPI 1104059153 · NPPES record last updated Jan 7, 2022

Key facts

NPI
1104059153
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
110000375 (CA)
Legal business name
SUTTER BAY HOSPITALS
Practice address
180 Rowland Way
Novato, CA 94945-5009
Phone
(415) 600-7776
Fax
(415) 600-7776
NPI assigned
Aug 25, 2009
Organization subpart
No

Authorized official

Name
John B. Gates
Title
Cfo
Phone
(510) 450-7357

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners 223

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 223

Affiliated clinicians 591

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 591

Medicare Care Compare: Hospital

Listed as
Novato Community Hospital CCN 050131
Overall star rating
★★★★★ 5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0663151Sutter Novato Community Hospital
180 Rowland Way, Novato, CA 94945		AccreditationFeb 27, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CA

Hospital certification: CCN 050131

Legal name
SUTTER BAY HOSPITALS
Doing business as
NOVATO COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 20, 1977
Last certification
Aug 22, 2025
Beds
75
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2010 (1 total)
Organization structure
Corporation · Non-profit
Incorporated
Dec 9, 1885 in CA
Enrollment address
180 Rowland Way
Novato, CA 94945-5009
Main/Primary Hospital Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gregory Brown
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Jill M Kacher Cobb
Individual 		Corporate Director
Board Member		 Jan 1, 2019
Theodore Deikel
Individual 		Corporate Director
Board Member		 Jan 1, 2010
Janet Garufis
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Rita Ophelia Kwan-Feinberg
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Susan McCabe
Individual 		Corporate Officer
Senior Director Accounting		 Jan 4, 2024
Juli Maxworthy
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Thomas Briody
Individual 		Corporate Director
Board Member		 Jan 1, 2025
William L Brunetti
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Sutter Health
Organization · Sacramento, CA
Corporation, Non-profit 		5% Or Greater Direct Ownership Interest Jan 1, 2010 100%
Jonathan Ma
Individual 		Corporate Officer
Cfo		 Jan 1, 2025
W-2 Managing Employee Jan 1, 2025

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sutter Lakeside Hospital
Lakeport, CA · CCN 051329		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2010
California Pacific Medical Center - Davies Campus
San Francisco, CA · CCN 056245		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2016

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050517000547 CA Part B Supplier - Clinic/Group Practice 3476506528 Receives reassigned benefits from 144 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Castro Valley, CA; Santa Rosa, CA; San Leandro, CA; San Francisco, CA; Oakland, CA; Lakeport, CA; Berkeley, CA; Burlingame, CA…
O20091019000179 CA Part a Provider - Hospital 3476506528 Practice locations: Novato, CA

National Provider Directory

Locations

599 Sir Francis Drake Blvd
Ste 301
Greenbrae, CA 94904
Phone (415) 461-1949

1100 S Eliseo Dr
Ste 3
Greenbrae, CA 94904
Phone (415) 464-0606

6100 Redwood Blvd
Novato, CA 94945
Phone (415) 798-3133

165 Rowland Way
Ste 312
Novato, CA 94945
Phone (415) 897-2626

180 Rowland Blvd
Novato, CA 94945
Phone (415) 209-1300

301 Industrial Rd
San Carlos, CA 94070
Phone (650) 596-4000

1580 Valencia St
Fl 4
San Francisco, CA 94110
Phone (415) 647-1828

750 Las Gallinas Ave
Ste 205
San Rafael, CA 94903
Phone (415) 472-3903

864 2nd St
Santa Rosa, CA 95404
Phone (707) 546-3141

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 110000375 CA Yes
General Acute Care Hospital 282N00000X CA

Addresses

Primary practice location

180 Rowland Way
Novato, CA 94945-5009

Mailing address

PO Box 742412
Los Angeles, CA 90074-2412
Phone (855) 398-1633

Other identifiers

IdentifierTypeStateIssuer
HSC00131GMedicaidCA
HSP40131GMedicaidCA
ZZR00131GMedicaidCA
CGP143090MedicaidCA
D884OtherCAPRESUMPTIVE ELIGIBILITY
HS00131GMedicaidCA

Other names

  • Sutter West Bay Hospitals Former legal business name

Other providers in Novato, CA

All providers in Novato, CA · General Acute Care Hospital in California

Sources for this page

Verify at the official NPI Registry.